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, everett <br />� <br />� City of Everett <br />S�wer A�plication and �ermit <br />CHART NO._ y 'i�' " � <br />t'C�S 1 � i�17!$O <br />� <br />No. 23567 DATE: APril il, 1980 �_ <br />Service Address 331A Hovt Utility Account No._ <br />Billing Address Permit Fee none <br />City, State, 2ip Connection Chargels�_ <br />Owner (Mortgagor) Total Fee none <br />Billing Name <br />Connection By �u,. _� ,.__ y�. _ <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Description <br />� Type Permit: <br />1 Remarks: <br />'.�. <br />Block <br />r<-r.: <br />0 <br />i <br />Con Miller <br />Signed <br />Sewer District <br />Monthly Sewer Service____ <br />Monthly Sewer Constr. <br />Trunk <br />Latera I <br />Abutting Lot Line <br />N, S, E, bV <br />,. APProvedBy I!. i:arren.-. -,--- <br />/-'��i%!' /%oi.� cuv e„����,.,�, <br />Issued By E. nonc' <br />I _;�- � `f � �i-+�in /YI, y, a n. � 3 -: -� <br />. �' <br />/ � ,:/�:�. <br />`EE SKETCH ATTACHE'J <br />Inspeciion By—,-� �_.� �r�. � -�.----1 <br />Date Inspected � � � '��%� <br />No. 235f�7 <br />ft. <br />